October 29, 2006

THE OTHER OPTION

This post
is probably the most painful, and the hardest one, I will have to write. I know
at points through this I will cry. I’ve debated for many, many months about whether
to write this up – I fear more than anything that I will be judged for what I
write and had hoped things would be different after Pia's birth so I could wash some of this away. I will be judged for the decision I made, not once, but twice. And the
fact those decisions were extremely hard and emotional for me, makes the
judgements even more cruel. I think though, that this is such an integral part
of who I am, and the person I have become, that it needs to be said. And if,
like Pia’s Story, I can give one other woman some comfort in them having to
make the same decision, it will have been worth it.

I had to
give up breastfeeding with both Max and with Pia.

In a
country which has become fanatical about breastfeeding to the point of
extremism, there are only two possible choices a mother could make. You either
choose to breastfeed, or you choose to bottle feed. There is no middle ground,
no safe haven for those who actually really, really wanted to breastfeed and
couldn’t for whatever reason. In the socio-economic circles I live in, I do not
know one person who bottle feeds. I am an isolated person within my peer group,
and that isolation hurts.

I stopped
breastfeeding with Max after 8 days. We had great latch on, position, etc for
the first few days. Then a feeding frenzy where we must have had a not so good
latch on. And then a terrible few days on the ward with psychotic patients,
nurses and midwives through the night who cut their toe nails at the nurses
station and bitched about patients for all to hear. Throw in engorgement, and
over zealous day time midwives who thought it might be psychologically better
for me to be at home rather than on the wards with all the drama, and my
confidence was crushed, my nipples cracked, and high levels of anxiety set in.
Once home I couldn’t get a good latch on. The nipples deteriorated. My anxiety
increased. Max’s anxiety increased. Hysteria set in along with the trauma of
the past week. Pain, bloodied feeds, lack of any sleep for 9 days straight and
a distressed mother and baby. I withdrew from Max. I actually couldn’t bare to
touch him or have him near me. I now know it is possible for someone to cry
hysterically for an entire day. Days even. My husband made the call to stop.
For our family. For me. For him. For Max.

There has
not been one single day since that I haven’t regretted that decision, haven’t
felt intense guilt and grief at what I did and what Max has missed out on. I
have walked through the years of Max’s life with this burden of my own
creation, and have gone out of my way to be a more than perfect mother to make
up for it. The pressure and guilt I placed on myself was one of the major
contributing factors in PND. I never, ever thought I would not breastfeed. It
was never an option in my thinking. So to have to make that call, devastated
me. I learnt very quickly, that motherhood is about compromises. Some of them
are small concessions, some of them are huge. I got to make all the huge ones
within the first two weeks. I had to come to terms with a birth which went
totally against my beliefs, and feeding which was against my beliefs. Max
though, was happier, less stressed, settled quickly, and is one of the
healthiest, most alert, imaginative, intelligent children I know.

I honestly
thought the feeding issue with Max was due to circumstance, and the situation I
was in. I really did believe that Pia’s feeding would be different. I had a
better frame of mind, I knew what was in store. I could do it this time.

The first
feed my nipples shredded. Both sides. I had lactation consultants coming out of
my ears in hospital. Not one of them/us could get a good latch on. We were
constantly making do with nearly good latching. We stopped breastfeeding, and
expressed to give the nipples a break. Every feed a midwife would come in and
maul my breasts to get colostrum out while we chatted jovially about things.
Every visitor I had copped an eyeful of fairly brutal breast manipulation, and
a harsh lesson in motherhood difficulties. I shut them out. I decided to feed
again with the help of a further lactation consultant. Again, we suffered with
nearly good latchings. The nipples got even more shredded through the night. In
the quiet isolation of the early hours of the morning, the anxiety settles in,
building in intensity with each minute ticking closer to the next feed. The
next stage was to express once the milk came in. Add engorgement again – I have
no problem producing good milk – and we were on a path to destruction. With the
electric pump on the lowest, mildest settings, my nipples still got further
damaged. I could have persevered and used a nipple shield – but if the electric
pump was causing damage, I really couldn’t see the shields doing much good. I
cried long and silently with each feed, trying hard not to focus on the blood
mixing with the milk. That is such a horrible, distressing thing to see. I
talked to a number of people at the hospital, and decided to stop. Too many
tears, too much anxiety. It just isn’t worth it.

I started
panicking – a panic attack within 3 days of being a new mother is not a good
sign really for someone on PND/depression watch. I really didn’t want to do
this again. To open up old raw wounds and repeat past mistakes is just too much
– I wanted to enjoy my first weeks with my new baby, not feel anxious and
pressured, and panicked about each feed. I didn’t want Pia to know her mother
in those weeks as someone who cries whenever they see her. I am so conscious of
maternal depression and it’s affects on children – none of which can be
accounted for till much later, but how much sorrow has Max seen that could have
been avoided? I made my decisions for my family – my bond with Max and Pia is
worth far more. My mental sanity is worth more.

Yet still I
dread every feed in public where I am judged by other mothers who have no understanding
of my situation. I dread answering the questions about feeding. I dread the
smugness of mothers who find it easy, who assume everyone can do it. I dread
the judgements. I now have twice the guilt – even though I made this decision
much better informed, and with the total support of everyone at the hospital
and I am ok about that decision. I understand now why it isn’t working: I have very
small nipples, and they’re very sensitive. Pia and Max were never able to get
them up far enough into the mouth to suck properly, hence their ability to
shred instantly. Past damage hasn’t helped their cause. I know I tried
everything I could to make it work this time.

Comments

Thankyou for you wonderful,honest posts. I am expecting my first baby in January and I'm grateful that you've shared your story. I too, truly hope to breastfeed my baby but I've heard many stories of mothers who simply cannot do it.
Perhaps breastfeeding troubles are more common than you think and when you feed in public, maybe there are many people who understand completely.
I know that, whether breastfed or bottlefed, the best thing for my baby will be a relaxed and loving family.

My philosophy on breastfeeding is this: The child needs to be fed and if feeding is too difficult for whatever reason, then Mom must find a way to feed her child--bottlefeeding then should be introduced for the sake of both child and Mom.

I had the same initial anxiety with my first. I was determined to make it work and spent 2 months as a recluse getting her to nurse and gain weight. I didn't want to be labeled a failure. But that frenzy of nursing made it impossible for me to just bond and enjoy my daughter.

We, as Moms, have to listen to our gut and not society as to how to care for our children. Your Pia is better off having a Mom that can feed her and bond with her instead of a frenzy of meeting society's standards. Your a great mom!

Thankyou for your honest post. I just assumed I would breastfeed too and when I basically had no milk I just didn't know what to do, combined with children who would not latch on or suck.

So for months I expressed the minutest amounts of milk and mixed it with formula and bottle fed. It took me all that time to make a decision to stop and once I did - I had so much more time for them, rather than spending all my time trying to express.

And once I talked about it at playgroup I couldn't believe the number of other ladies who had problems breastfeeding and ended up bottle feeding, they had hidden it too, I guess fearing the reactions of others.

Your beautiful daughter will thrive however you feed her - you are right- motherhood is a long litany of compromises - what is best - for you, for Pia, for your family - may not be 'right' in our overbearing guilt inducing cultures - respect your instincts and use your passion for your children to nurture in different ways - you are so much, much more than you think you are just now.......

Thank you for being so honest! Although I managed somehow to overcome those agonising first few weeks with both my babies (you really don't think it can happen twice), reading your post brought tears to my eyes as I remembered how physical and emotional the pain of feeding was, coupled with the terrible fear of failure. The dread of the minutes counting down to the next feed and the anxiety at being with your baby...It's very isolating to think you're alone in experiencing it so well done for surviving it and sharing it.

I'm very sorry you had to go through this twice and be left to feel so bad about it. It's so sad that it is often the mothers who are doing this (the guilt thing) to each other. I know that I was lucky to be able to breastfeed both my children and I do realise that it often just does not work out that way. Please don't blame yourself and don't underestimate the beneficial effect of your love to your children's health.

I wish someone had told me when my first son was born that while breastfeeding is natural, it's not easy. It took us more than four weeks to get to a point where I could nurse him without crying. We didn't leave the house for an entire month because it was so difficult to feed him.

And despite eventually having a good nursing relationship (that lasted more than 23 months), I suffered from PPD too. So I have guilt about the first six months of my son's life because of the PPD....as mothers it's so hard *not* to feel guilty about *everything*.

But you are right- parenting is all about compromises. You want to do what is right for your children, but at the same time you need to care for yourself and your family as a whole- which includes your partner.

I was very lucky I never had problems with breast feeding my son apart from sore nipples but it never stopped me suffering the most crushing depression. I had been depressed before he was born but after it became so much worse. I stopped when he was 4 months old because his teeth came through and he bit me like a horror. It took me a further 8 months to seek help for the depression not wanting to open myself up to other people's opinions or load myself with more guilt.

I think we spend so much time beating ourselves up and trying to live up to an ideal that doesn't exist. The important thing is to find a way that works for you and your family. Thank you for sharing and providing a realistic view of motherhood.

Awwww, I wish you could let go of the pain and see it for what it is. I respect and appreciate all of your sentiment and dreams about feeding your babies, but I hate to see a mother rip herself up so brutally for a decision that doesn't make one bit of a difference in the GRAND scheme of things. For now it will feel sad and disappointing, but they all move on, off of milk, out of diapers, into their own rooms/beds, and eventually off on their own... we have them for such a small part of their lives... you've done your very best and you should feel nothing but pride about that. Don't feel like a failure! My brother and I were bottle fed and I feel not one bit affected by that! I have three healthy children now myself!
Anyway I guess you have to go through feelings to resolve them, but I do hope you'll let go of the pain when the time comes... your kids will be happier if you're happier!

Forget everybody else. You have just given birth to another human being. If ANYBODY judges you, you send them right to me!!!
I am new to your blog and I am already transfixed by your honesty, so thank you for that. BUT having read the comment by Krista I really think she is talking the most wonderful sense. I am sending you an enourmous peace filled hug and hoping that any hormones you don't need make a sharp exit from your precious body.

Thank you, thank you, thank you for sharing this. I know it must be hard to write- partly because you have still not been able to let go of the ideal you set for yourself, and partly because you are leaving yourself open to criticism. You'll find none here.

I nursed my son for 13 months and it was never easy. I nursed the first three months in horrible pain, my back aching, one breast completely mauled. In fact, one lactation consultant drew a picture of it because she couldn't believe how bad it looked. You know what's funny? In a way, I regret persevering with the nursing. It colored my relationship with my son and made me scared to be at home alone with him, as it took two people to really successfully feed him (with the pump, and the shield, etc.).

I think we all have to stop preaching, right now.

I'm reading Hillbilly Gothic right now- have you read it? She quotes a passage from La Leche League's book that I'm sure I read in those early days. When I saw it in her book, it was like a slap to the face- all about how nursing your child essentially made you a better person, showed that you were mature, etc. These kinds of value judgments do nothing but damage women. I know that it's a backlash against societal norms that say women shouldn't breastfeed in public, etc., but it's equally harmful.

Oy. Off the soapbox. Pia will thrive. Pia will soar. And it will be because you are there beside her.

I came across your blog a few days ago. I now think that it might have been for a reason. I needed to hear that I wasn't the only one dealing with this same issue.
I have a 6 month old baby girl. After her birth (which was VERY difficult and ended in a cesearean), I started trying to nurse her. Little Bit would not latch on initially. One hour after she was born, I was handed a nipple shield. Being uninformed and trusting, I took it and started using it. We couldn't get a good latch with or without the shield. Little Bit has a tied tongue. I felt intense guilt about giving her a bottle, but after seeing 6 lactation consultants we decided to stop. Little Bit was losing too much weight.
I cried and cried after making the decision. I'm still not happy about not having a choice in the matter, but LB is doing terrifically. I feel that breastfeeding is wonderful, but NOT at the expense of the mother and her child. I lost the first 2 weeks with my baby girl. I felt so pressured by society and my friends, that I was continuing to hurt my relationship with my own daughter. I'm so very glad that she is healthy and wellfed.

I hope that you enjoy your early moments with Pia and everyday after :)

you tried. it is the best you can do. now it is time to move on, enjoy you little ones and remember that you did what you could. thank you for sharing your story! and if anyone has an issue with the bottlefeeding, you can send them send them our way!

Delurking to say please please please do not spend one minute more worrying about this. There is nothing beneficial in an infant associating every feeding with a mother's intense pain and fear. Is it beneficial for an infant to be without their mother for a week before she has to have surgery on her infected breast? Or to have a mother that has to have surgical packing removed and cleaned every day for three weeks? This happened to my friend and it was so hard for both of them. It didn't have to be, she was trying so hard because of a la leche consultant and it was just so wrong for everyone involved.
I congratulate you on having the courage to make the decision!

Hey. You will not be judged that brutally Sweetie. I never knew either that breastfeeding could be an "issue" - untill I had my first born. I saw the women at the hospital struggling to breastfeed and even though I had no problems - I will NEVER judge anyone else. We ALWAYS do the best we can, in any given situation. I also had to deal with depression before/during/after and have given (mainly) my first born a hard time, but we all survive - don't we? We can't beat ourselves up about it. Don't beat yourself up - ok? You don't need that too.
Hugs and positive vibes from me to you ;o)

Thank you for sharing, yet again such a powerful and honest truth. I think you're such a brave person and I hope that your fears of people judging you don't come to pass. But, if they do, I hope you remember that you have support here and that you've done the best thing for you and your family.

This was such a brave post, and I'm so proud of you. I do hope you know that. (I think you do.) I'm proud of you for sharing this publicly so that it might help other moms, and I'm proud of you for making the right decision for you and your family in spite of tremendous pressure to the contrary.

Pah! on the others who feel the need to judge you. You tried so hard to make it work and I applaud you for stopping when you saw it wasn't working for you, Max or Pia. I don't have children (yet) and when I choose to have a breast reduction (thereby heavily reducing my chances of breast feeding) you would have thought I had decided to chop off people's toes or something. As long as children have a loving home and a way to get nutrition, then who cares if you breast feed or not. I do think it's best for the child but if it doesn't work right then there are other options! Heck! We used to have wetnurses! Luckily nowdays there is formula. So in conclusion (I like saying that), I applaud you loudly for saying it as it is and sharing this with us.

I'm sorry to say that the ridicule has happened even within my family. My oldest sister is the Breastfeeding queen. She's had 4 kids and was even breastfeeding #3 & #4 (who are at least a year apart) at the same time for about a year. My second sister's first child wouldn't latch... so she went to a bottle, her second child fed for a while but when she had to go back to work in earnest, her second child had to go to a bottle too. Her third was hospitalized at a month old with 2 serious lung diseases and was in the NICU for 6 months and because of stress and having to pump rather than nursing directly (he was in a drug induced coma most of that time) her milk dried up. And instead of seeing sympathy and love within my family, my oldest sister ridiculed the second sister for not trying harder to breastfeed! I made my opinion known about that and there hasn't been any more discussion about it, but it just seemed to be to be such a heartless thing to do! If a woman chooses not to breastfeed so that she can keep her breasts perky, I would argue about that, since I feel that having children is more important than your figure, but if you've honestly tried and for various reasons you can't... then I call you blameless. And you shouldn't be feeling guilty. You are doing what is best for your family, just as I am doing what is best for future children by NOT having them. Even though we are ridiculed or looked down on because of this, it doesn't make our decisions wrong. Blessings for you and your family and kiss Pia's forehead. According to my Portuguese Grandmother, it makes babies smart ;)

Thank you for such an honest post. I know that society at the moment is divided in two. Those who are passionate about breastfeeding and those who just don't care to do it. Thankyou for really highlighting to me that there are those who really really want to and cannot. I will NEVER judge anyone who bottlefeeds again - their story could be just like yours.

You did what was best for you and your babies. Don't let anyone ever tell you that was wrong. What's wrong is bullying mothers into feeling guilty or "bad" for making decisions that are best for thier circumstances, and, sadly, moms across the country on all sides of all the issues will happily line up to berate another mother about her choices before giving a single thought to supporting or comforting her.

I beat myself up for a long time for "giving up" on my birth plan and "giving in" to a c-section, for "giving up" on breastfeeding when I could no longer produce enough milk to keep my children full, and I let other moms beat me up for it too, but after a while I realized my babies are healthy, smart, loving children regardless of how they got here or what they ate in the meantime. You do what's right for your family and let anyone who gives you grief over it have an eyefull of a rather rude gesture.

I cannot imagine any mother judging you over this. Breastfeeding is not a phsyical possibility for every woman, period, and it's no one else's business why you are bottlefeeding, and anyone who chooses to think less of you because of it is the real one with the problem. I've always just assumed I won't have any problems breastfeeding when the baby is born, but posts like this remind me not to take anything for granted. I'm so sorry it's been so difficult for you.